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because we are only 61 years old and not eligible for medicare for another four years. $18,000 a year for health care. we were told that part of the problem is the provisions in the law require us to choose a plan that has maternity benefits. how does this make sense for seniors to be forced to buy coverage that does not apply to them? we agree that benefits should not be denied to peernling peopt it's not fair to be forced to buy coverage that doesn't even apply." mrs. fischer: i rise to speak on behalf of nearly 3,000 nebraskans who have contacted my office with their concerns about obamacare. their stories are, unfortunately, not unique. skyrocketing premiums and cancellation of plans, that they were promised that they could keep. curt from lincoln, nebraska, wrote to tell me he has seen his bluecross blueshield premium rise a shocking 300%. david, a father living in omaha, is face ago potential total increase of $16,000 a year for his family's coverage. $16,000. another constituent from bertrand, nebraska, will see his family's deductible more than double next year. how is this th
and her husband no longer could keep their medicare advantage plan. it was terminated. and so they found another plan, much higher costs, higher premiums, higher deductible. cynthia from lafayette, indiana. i'm a self-employed and purchase health care privately. i'm a single parent, with a mortgage payment and a child in high school. i was given estimates for -- my plan was canceled and i was given an estimate for a replacement plan almost double what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you have not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? >> mr. president. >> senator from north dakota. >> in north dakota we have a lot of farmers and a lot of ranchers, and they're small business people. they're being hit very hard by obamacare, like other small businesses across this country. a rancher contacted us, named wayne, and he
with your argument for him as conservatives? >> sure. so the idea of medicare had been around, and, you know, it was kennedy proposed it. and he did it framed in very, in very conservative language, and i'll find that for ya. it was funny, he also -- this connects to the welfare point where, um, where he said, he proposed this medicare plan as very modest proposal, cut to meet absolutely essential needs. and with sufficient deductible requirements to discourage any malingering or unnecessary overcrowding of our hospitals. this program is not be a program of socialized medicine, it's prepayment of health costs with absolute freedom of choice guaranteed. every person will choose his own doctor and hospital. the program's a sound one and entirely in accordance with the traditional american system of placing responsibility on the employee and the employer rath or than on the general taxpayers to help finance health costs. so even as proposing this big government program, he's aware with this language about malingering about the risks of perverse sniffs. and i think -- incentives. and i think, yo
by this obamacare. she received a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan, much higher cost, much higher premium, much higher deductible. cynthia from la fee yet, indiana, i' i am i am-employed d purchase health care separately. i am a single parent with a child in high school. i was given -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president, you have not kept your promises for seniors. you have not kept your promise to single working mothers. you have not kept your promise to families. you've not kept your promise to the people that i represent. how can americans trust that this government takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotmr. hoevena we've got a lot of farmers and ranchers. thethey run a small business and they're being hit very hard by obamacare, like other small businesses acros
in a different medicare slang plan which will cost more. i wanted the senator to be aware that medicare clients are experiencing negative consequences from aca as well. since that time, by the way, after this experience. she has been able to find a plan that helps her avoid all six of her doctors including a five specialist in the primary care physician. here is the catch. the new plan? it's out of pocket costs are now going from $4 ,000 to $45 00 range. it's now going up to an expected $5,900. it was a tough decision for her to make. she ultimate decided to pay more money in order to keep seeing the doctors that have been treating her for the past four to six years. it's a real live story of a medicare advantage recipient in the country whose out of pocket costs are going up because of obamacare. it's wrong. it is unfair. it should not stand. i yield the floor. >> mr. president? >> senator from new hampshire. >> thank you, mr. president. i came to the floor yesterday to share so many stories i'm receiving from my constituents about them receiving cancellations for policies they wanted to keep,
a letter telling that she and her husband no longer could keep their medicare advantage plan. it was terminated. so they found another plan. much higher cost. much higher premium, much higher deductible. i'm a self-employed and purchase health care privately. i'm a single parent with a mortgage payment. and a child in high school. i was given estimate -- my plan was canceled and i was given an estimate for a replacement plan almost double of what i'm paying today. mr. president you have not kept your promises for seniors. so you not kept your promise to single working mothers you have not kept your promise to families. you have not kept your promise to the people that i represent. .. takeover will work if you can't keep your promises to the american people? a senator: mr. president? the presiding officer: the senator from north dakota. h.o.v. in north dakotamr. hoeven: in north dakota we've got a lot of farmers and ranchers. theythey run a small business and they're being hit very hard by obamacare, like other small businesses acr
's the appropriations committee. mandatory spending. that's social security, that's medicare, that's veterans benefits. and then the other is revenue in, either through trust fund contributions or through fees or through taxes. the so-called top line is what discretionary spending is -- is what they allow for discretionary spending. in the budget, it's under an act called section 308 of the budget. i, in order to do my job as the chair of the appropriations committee, need the budget committee, with the concurrence of the congress, to give both my counterpart in the house, congressman rogers and nita lo lowey. myself and vice chairman on the other side of the aisle, senator shelby, the so-called top line. then we work through our other 12 subcommittees. this is absolutely crucial because we cannot do discretionary spending for fiscal 2014 until we hear from the budget committee. and we don't want another c.r. we don't want another shutdown. we don't want another slowdown. we're ready to go to work. we've already done our due diligence. we've already worked our -- worked through the subcommittees, 12 s
to the current system and that is simply let people buy into medicare for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete and we will see what happens, so that is how i sort of settled at the conundrum in my own head. i think it would be a good thing to do. >> how do you feel your book will affect the medical world like everywhere across the world now? >> well, there is a whole percolating thing happening and it's not just in medicine because one of the things about my book is it's not just about medicine that people recognize it is about style. whether we are teachers or lawyers or how we live and what is a value to us. you don't need very much to be happy
and medicare defense. i want to make it clear that the steadiness of the share of the category maps different patterns among its components so that chart at the bottom of the page and this other category. owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending in the budget control act. we show figures like these not to suggest that you should try to repeat the budget configurations of the past, but instead to help you and others understand which parts of the federal budget are expanding relative to the size of the economy and which ones are shrinking. there is no particular reason that outlays for social security and medicare need to be cut back to the historical average share of gdp when a larger share of the population is old enough to receive benefits from those programs. however, if the programs are not cut back, then we will need to collect a larger share of gdp in tax revenue relative to our history, or cutback in other federal an methods and servicese listed to what we have bee
issues in terms of getting our fiscal house in order, the trustees have said medicare goes bankrupt in 2026. the disability fund you referenced, 2016. and is there a way for us to address our long-term fiscal outlook if we don't reform those programs or also are we able to even sustain them for the beneficials that rely on them? >> senator, your first question, our baseline projections follow current law in which the federal share of medicaid costs for the additional populations under the affordable care act declines from 90% over a few years later. our projections incorporate that and that feature current law. >> so just to be clear, if after three years the states come to us and say we want you to continue to pay 100%, that is not accounted for in this fiscal outlook? >> that's right. we would provide a cost estimate for that legislation. it would show additional cost for the federal government. >> with regard to obviously important programs, i think, to all of us but also a big challenge we face. >> yes. so on your second question, as my charts showed, the rise in spending for so
actually tested it by paper and i have to admit that i can remember except when medicare was rolled out. and let me give you this. and the secretary later said that we actually have 800 family show up on a saturday morning and signed in with multiple attendees per family in nearly 300 people sent a follow up appointments after a navigator and we had 88 of the certified navigators they are and we don't know how many applications were completed because the numbers are being tallied in hhs and the regional office out of dallas. there are people who want to do it. if we have to do it by paper, we will do it. that's a frustration that we have. we want this work because there are millions in the country that need this. the majority in the house may not understand that. but in our district they do. and i don't know if you have a comment. >> i think that we take to heart the matter and i think that everyone working on this is absolutely serious about improving this experience because we know that in districts like yours, there are a number of people who need and want to enroll in use this benef
. before congress passed a medicare part b prescription drug benefit in 2003 traditional medicare did not provide coverage for prescription drugs. many seniors tasted difficult choice between medicine and meals. when congress passed part d the republican majority at the time left a gap in coverage known as the doughnut hole. when a senior on medicare spends $2,600 on prescription medication they fall into the doughnut hole coverage that and have to pay for their drugs 100% out of pocket until they reach $5,600 in prescription drug spending glistens seniors never reached the top of mt. the calendar year so they pay 100% for the rest of the year until the next year. many seniors living on fixed income can't afford to pay their way through the gap in coverage. the affordable care act phases out the doughnut hole closing it for good in 2020 saving seniors $300 a year in drug costs. a year after president obama sine die affordable care act into law i spoke at the democratic club, one of the largest democratic club in florida whose membership is largely made of senior citizens who live in m
of health care hearings to tell you about. the centers for medicaid and medicare services will be on capitol hill to talk about the health care law including the health rollout. it will be live on c-span at 10:00 a.m. at the same time on wednesday morning, hhs secretary kathleen sebelius testifies in front of the senate finance committee and secretary sebelius and other obama officials won't talk about the research and the updates that should be completed by the end of the month. you can see that at 10:00 a.m. eastern on wednesday. >> you are watching c-span2 with politics and public affairs weekdays featuring live coverage of the u.s. senate and on weeknights, watch key items and the latest nonfiction authors and books on booktv. you can get our schedules are websites nuking join in the conversation on social media sites. >> our series on the affordable care act in conjunction with kaiser health news focuses on what is happening with the insurance plans that are being canceled. this is 45 minutes. >> on this segment of the "washington journal", we have been taking a look at the imp
i think you're right, senator. over the past 40 years, social security and medicare represented outlays for the program were 6% of gdp. by 2038 under current law, outlets will be about 11% of gdp. so the cut if spending that will be required on the programs that will be required to bring them back to the historic am average will be a cut of almost one half. we don't have anything that would accomplish that. as i said to start with, there is no particular reason why those programs should go back to the historical share of gdp given that many more people and much larger share of the population is eligible for them. on the other hand, if one does not restrain the programs, then significant changes need to be ma made. >> is there anything else you'd like, senator? >> r & d, we're in the process of producing a chart book of federal investments and some of the private sector investments as well. in terms of development, there is often a great deal and growth in private sector development but in the more basic forms of research. that is the sort of output for the economy that the priva
have a different situation as a medicare person, not medicaid. my medicare has gone completely haywire. my deductible has increased. the amount of doctor care i get has been decreased and the supplemental plans like aarp is pushing -- have increased tenfold because of the obamacare regulations and minimum requirement. like she is trying to say of goods find and everybody needs to pay for pregnancy and everyone needs to pay for prostate cancer so it all works out. that is one payer system and it that is what the system wanted to force people into to make it such a mess that they will come back with the one payer system is the only real way to solve this issue, that is what they wanted in the first place. i don't understand. a health care person such as yourself who is on here what is kaiser stand to gain from this because they are showing cancellation policies. >> host: just to be clear highs or health news is a nonprofit news service independent from the kaiser family foundation. it's a foundation nonprofit nonpartisan health policy think-tank and the correspondents at kaiser health ne
an employer plan or through medicare or medicaid, or the veterans administration there is no change for you accept an increase in benefits that everyone receives as a result of the affordable care act. they're one of americans who are uninsured whose only recourse for health care is the emergency room. then you have nothing but better options because you have available to you potentially free or very affordable health coverage or affordable options that did not exist for you before. if you are one of those americans that makes up only 5% of the population who currently receive, get coverage of some kind in the individual market and have a plan before law passed that hasn't been changed by your insurance company or canceled by your insurance company, downgraded by your insurance company you can keep it. it's written into law. it was explained by secretaries sebelius when the rule associated with that was published in 2010. however, if you are in the individual market and your insurance company changed your plan, downgraded debt your insurance has to meet the basic standards set by the afford
. griffith. >> thank you, mr. chairman. speaking of medicare part d, no one was required by law or forced a penalty to subscribe to that, isn't that correct? >> no. but we did auto enroll medicaid dual eligibles into medicare part d. >> it is a different animal than what we're dealing with now because of americans are told they can have their insurance so they will have to sign up through the exchanges. so i do appreciate that but there is a difference. one of the things when you get a time to take a look at the report, i think it's a symptom of the problems this website has had is that you were not included in the briefings on the report that has come to light in the last 24 hours. when you get a chance to read that one of the things you'll see is a filter ought to be one person overseeing all the different parts. listening to the vendors who previously testified before this committee it looked like they were each building their own part and in the last month they had excluded altogether. in the last two weeks -- two weeks things are changing. you really want to have, you want to defined
to vote on it. >>> next come the testimony from the head of medicare. she appeared on capitol hill again this week to explain the problems with healthcare law rollout and the website. we join this hearing with opening statements from the ranking member, tennessee republican lamar alexander. this portion is just over two hours and 20 minutes. welcome. when i was in president bush's cabinet i used to testify before this committee in that seat and i used to think the senators deliberately put the chair download so they could be of high. so we welcome you. my late friend alex haley used to say lamar if instead of aay speech if you would tell a story someone might listen to you. ofa so here's a story. 16,000 tennesseans have insurance through covertenn. obamacare is countering their policies.en covertenn is an example of what president obama calls "bad apples" a plan that washington decides is a good enough for you. i recently heard from him than of those tennesseans whose polic policy will be canceled january 1. her name is emily. she is 39 and she has lupus you she told me i cannot keep my
/3 of the federal budget is basically medicare, medicaid, social security, defense spending and interest on the public debt. that is where the money is, that is where we're going to make any progress inwe reducing spendingn the future we have to focus our attention. >> host: carl from chicago, illinois, on the line for democrats. you're on with mr. hoagland. >> caller: good morning, gentleman. mr. hoagland, you're saying a balance between spending and revenues. i think thatth you got it wrong. this is where the problem is in my eyes. in 2000 we had a balanced budget anhad surplus. republican chose to take all the surplus and borrow money to have tax cuts, okay? they said that we could have a war. in six weeks it wasn't going to cost as you dime. that wasn't true. it cost us a trillion or two dollars, maybe one or two trillion doll -- $2 trillion. we had the recession where americans lost 30% of their net worth and lost gdp because the recession started in 2007. gdp in 2007 and 8. which probably comes to maybe about, comes to maybe about a couple of trillion dollars. this is not about the
for positive change in peoples lives. before congress passed the medicare part b drug benefit in 2003 in the traditional medicare did not provide coverage for prescription drugs. many seniors face a difficult choice between medicine and meals and congress passed party, the republican majority left a gap in coverage known as the doughnut hole. when a senior in medicare's hands approximate $2600 on prescription medication cometh onto the into the doughnut hole coverage gap in how to pay for their drugs and hunt up some other pocket until they make $5600 in prescription drug spending. some seniors never reach that amount of the calendar year, is they pay for the rest of the year until the next year. many seniors living on fixed incomes can afford to pay their way through that gap in coverage. the affordable character faces at the doughnut hole, closing it for 2020 and saving up to $3000 during drug costs. about a year after president obama sang the affordable care act into law, i spoke at the democratic lock on one of the largest in florida whose membership is largely made up of senior c
years. because of the affordable care act, more than 7 million people on medicare have saved more than $8 billion on their prescription drugs. more than 100 million americans have access to free preventive coverage. and no longer face lifetime limits on their coverage. over 10 million americans have received rebates from insurance companies and finally, this january, the worst abuses of insurance industry will be halted. never again will a family be denied coverage because their child has a chronic health condition. never again will individuals see their premiums shoot up because they got sick or faced an unexpected medical expense. never again will a woman have to pay twice as much as a man for the same insurance. that is why allowing insurers to continue offering deficient plans next year is such a bad policy. the law says that all plans except those that were grandfathered in 2010, must meet the new consumer protection standards. if we don't enforce this policy, insurance companies can continue offering flimsy coverage that disappears when people actually need it and no one should w
that they delivered the and were the sites more or less complicated than the site that we were talking about here today? and she said, of course, the site today was more complicated. and in the questioning and from her testimony, and we've been hearing about this testing that wasn't happening that we had individuals out there saying that about two weeks had been done, but i ask her about was there sufficient enough time when they did and the response she gave me back was on which is a less complicated site and she stated we had sufficient time to test the system before it went live. and i asked her in a follow up then, what was that sufficient time? and she said we had a number of months before the system went live at that time. and i just want to make sure because again, you know, sometimes things don't get reported accurately. and the "u.s. news and world report" on october 18th of this year and there is some questions going back and forth. i want to make sure that you were quoted properly. after two weeks of review, the hhs secretary c
or at the hearing this morning where they have the center of medicaid andc medicare services talking abouts the health care law. a senator from alaska wasn especially cogent in pointing out the difficulties and who differences between those twonai live in alaska and their inability to connect to theem services in the new health carel law. e if i remember correctly she sait only three have been able to drc enroll in pointed out the differences in time. i would like to spend a few minutes reflecting them whatthis happened this morning and what i said to the administration's witness., i begin by telling a story about 16,000 to alexian's who have insurance through something called cover tennessee. a low-cost coverage stateir program. obamacare is canceling a policy. the cover tennessee apparently is an example of what the president has called bad applesd an insurance plan that washington has decided is not enough for you. t i recently heard from one ofn those who policy will bee cancelled on january 1. her name is amelie. thirty-nine years of age. she lives in tennessee and toldt me, i cannot k
, china tax credit. i see, because of social security and medicare, a number -- hundreds of thousands, millions of americans get to spend more time with their children and grandchildren because of social security and medicare. 45 years ago before medicare, 48 years ago, half of america's seniors did not have health insurance. today 99% have t l we know that means people live longer, healthier lives. not just they get to see their grandchildren, which is to the pleasure and delight of almost all grandparents, it also means they get to impart their wisdom and knowledge and values to their grandchildren. margaret meade once said that whicwisdom is passed to grandchildren, from grandchildren to grandchild. they makes for a richer society. because of these two social security programs, we're a richer, better country as a result. today 63 million americans receive social security benefits. my state, it's 2 million. let me give you a couple of stafts. because this is really a moral question of what we do with our retirement system. two-thirds of seniors, social security is more than half the
and medicare together, that was about 6% of gdp on average over the last 40 years. but it will be more than 8.5% of gdp by 2023 and in our long-term outlook we show that by 2038 it will be more than 11% of gdp. meanwhile, defense spending shown in the third bank of the numbers is on track to be a shrinking share of gdp, and all other noninterest spending taken together, everything but social security and medicare and defense, will be roughly the same share of gdp in 2023 that it was on average during the past 40 years and that it is today. i want to make clear that the steadiness of this gdp share of the all other category masks some very different patterns among its sub components. as you can see in the chart at the bottom of the page in this other category, means tested health care programs are taking a growing share of gdp, owing to the expansion of insurance coverage through the affordable care act and rising health care costs per person. in contrast, nondefense discretionary spending is on track to be a sharply shrinking share of gdp, owing in part to the caps from the budget control act
information officer, at the centers for medicare and medicaid services is our guest today. thank you for testifying. i hope you can appreciate the hss has a ways to go to regain the trust of the american people. they were told it would be as easy as buying a television on amazon. every day new revelations are emerging showing this was avoidable. mr. chao was witnessed that the company primarily response for building the website would quote crash on take off end quote. and as early as march of this year, officials were well aware they were off schedule and testing was elementlimited. and we learned was launched after a memo alerted her the full assessment wasn't completed. so they knew there was security issues. the administration officials promised in public that in only a few days the american people would be able to use a perfectly functioning website. secretary sebelius told us the highest measures are in place and i hope we hear what they are from mr. chao and our second panel as well. the second panel features the people responsible for the i am di
't want the government fooling with my medicare. do they know johnson put that federal program? you remember some of the rhetoric. roosevelt said nothing to fear but fear itself and kennedy said ask not what your country can do for you, ask what you can do for your country. reagan said it's mourning in america and the pride is that. we remember these inspirational talks. for the moment kennedy and reagan are the ones who fill that bill. it will be interesting to see what evolves over the next 50 years. i am very selfish. i say i wish it would could come back in a couple hundred years and see what has happened in the country but my grandiosity does not extend that far. [laughter] >> ladies and gentlemen please join me in thanking robert dallek. [applause] >> thank you.
would have gotten the big tax cut, the federal aid to education, the medicare and the civil rights bills passed. that would have put him in the lead with the most progressive 20th century presidential reformers alongside t.r. and wilson and even compared somewhat to fdr but i don't think he would have pushed beyond that. i think he would have pushed toward d√Čtente. i think we would have seen d√Čtente earlier with kennedy then we did with richard nixon because that cuban missile crisis was so sobering and it was so khrushchev and they make the nuclear test ban treaty which eliminated the pollution and radiation in the atmosphere and i think kennedy saw this as an opening towards a push with the soviets and he made the ruling and famous american speech in june of 63 in which he said we should rethink, rethink our relationship with the soviet union. mainly the russian people and he praised the russian people as a great evil. he was looking toward i think some kind of accommodation, a movement away from the dangers of a nuclear war. and of course vietnam. he was under tremendous pressure fr
detached in that sense, too. we're going to have medicare and have demonstration programs, but i think it would have been acutely aware, for instance 0, the political dangers of a great society program with big city mayors at odds with community based organizations, fighting for money. kennedys were from boston. they understood the black-white conflict in terms of white working class and schools. johnson saw it as the north and the south. so i think you would -- kennedy just didn't talk that way. i can't imagine him calling for a war on poverty. because he had a great degree of skepticism about the power of government, whether it was military or domestic. he would have had programs, but smaller, more modest, and it would have been very important for kennedy to make sure that this wasn't seen as a racial program. shortly before he left for dallas, the one political meeting he had, he was talking about poverty, and the record of the census bureau, said this is all real. i wouldn't do that, mr. president. you got all the poor votes. you need suburban votes, salt lake hands with cops. kenn
for the center for medicare and medicaid services, inflation adjusted health spending grew at a 2% annual rate over the three years since 2010. the lowest rate recorded since we began tracking these data in the 1960s. lower health spending helps with wages and jobs. fourth, the dramatic increase in domestic energy production is another opportunity for the u.s. economy. crude oil production has grown each year the president has been in office, reaching its highest level in 17 years in 2012. we've seen stronger fuel efficiency, and as a result of all of these advances, we learned just today that our domestic production of crude oil exceeded our net imports of oil in october. more broadly, the president remains firmly committed to an all of the above energy strategy, including progress on renewable energy as well. finally, the last favorable trend we have is that technology provides significant opportunities for long-term growth, especially in areas that benefit from the combination of mobile computing and increasingly fast wired and wireless internet connections. over the last four years, the un
information officer at the centers for medicare, medicaid services, thank you for testifying today, and i can only imagine how stressful the last few months have been for you. welcome here. i hope you appreciate the fact that hhs has a ways to go to retain the trust of the american people on this website. they were promised a functioning website as easy as buying a tv on amazon, and what they got was a train wreck. the reason the trust of the american people is difficult to regain is because every day new revelations show this wreak was foreseeable. last week, there's e-mails uncovered showing as early as july of this year, mr. chow, the first witness, was worried the company primarily responsible for building the website, cgi would, quote, crash on takeoff, unquote. materials as early as march to april of this year, top administration officials were well aware that was far off schedule and testing of the website would be limited. we have also learnedded that was only launched after the ad min straiter signed authority to operate, with a memo warning her a full s
where the head of the center for medicaid and medicare services talked about the health care law. i thought the senator from alaska was especially cogent in pointing out the difficulties and the differences between those who live in alaska and their inability to connect to the services in the new health care law. if i remember correctly, she said only three have been able to enroll, and she pointed out the differences in time. i'd like to spend a few minutes reflecting on what happened this morning and what i said to the administration's witness. i began by telling her a story, a story about 16,000 tennesseans who have insurance through something called cover tennessee, a low-cost coverage state program. obamacare is canceling their policies, those 16,000 policies. cover tennessee apparently is an example of what the president has called "bad apples," an insurance plan that washington has decided isn't good enough for you. i recently heard from one of those tennesseans whose policy will be canceled on january 1. her name is emily. she's 39 years of age. she has lupus. she lives in m
to address to you. i just wanted to know, if you be seeing more states who have opted out of the medicare expansion who will be using that model. i think wisconsin is using that same model. i think i heard that it's going to take off this enrolled people off of medicare and put them on exchanges and then to make way for new enrollees to i guess i just wanted to your whether or not there are some downside our upside to using that kind of model. and you think other states are going to do the same? >> so, in terms of medicaid, i would say the wisconsin issues different. wisconsin, it's funny, the wisconsin folks say why do we keep getting labeled as a non-expansion state? we expanded a decade ago. they already cover all of these people are and so it's, i think the wisconsin situation is very, very different. but i think it's a very, very silly question to talk about, what does arkansas mean for -- salient question, for the other states that are currently either leaning know or are at no. and i think, i know for sure that the vast majority of states who are currently in the no category are i
end up helping them a lot of times choosing the appropriate medicare part b plan for them. so we're helping on that site also. -- part d. we were surprised how many young families were coming in. host of young families coming in, the children are already on medicaid and the coming in for care for themselves or other family members. so our successes and challenges, so what's working? the system is improving. the awareness level is increasing and good publicity, bad publicity made people aware of this is out there, the marketplace is open. so it's about more people in. most people are surprised when they come at how affordable it is. i think there's a preconceived notion by especially people who have sought some of the high-risk pools are people with chronic illness in the past have been unable to really afford it. but as with the d.c. exchange, there are trees prices and people are really surprised that it is affordable. we are doing a lot of advice in a committee. with a couple of organizations that do free and low-cost tax services, filing services for people of low income. so w
contribute more on health care and pension made a big impact. medicare, medicare, social security and americans want more benefits of all kinds and they are willing to pay for. you talk about big, bold positive solutions being the answer -- are there big bold positive experiences that come to your experience at the state level for the different probl problems? >> they are different at the federal, state and local but they have the same tenants. the things you value the most would have been cut just as much as the things that don't have a high value. what we did was initiate reform. those were a part of it. and the biggest in the state were most of the school districts had to buy from one company. by pulling back on collective gardening, school districts can bid on health insurance and districts are saving tens of millions. and other changes beyond the fiscal leave are happening. at the federal level, it was more than half of the budget; aid to local government. so anything we did to balance the budget, besides massive cuts, required reforms in those area and same thing at the nati
. and what about senior citizens? medicare prescription part-d provides prescriptions so senior citizens can stay healthy, independent and strong for as long as possible. and the problem we had, of course, was something called the doughnut hole. it meant out-of-pocket expenses seniors had to pay for their prescriptions. we are closing and filling the doughnut hole so that seniors aren't giving up their life savings in order to have the prescription drugs they need for a healthy life. they want to repeal that. they want to repeal the affordable care act. i'm waiting for the first republican senator to come to the floor and say seniors ought to pay more for their prescription these need under medicare, because that's the result of repealing the affordable care act. now, let me just also say this. life experience tells us several things. first, premiums on health insurance go up with some frequency. we're trying to slow down the rate of growth but they've been going up for a long time. in some markets, for example, when it comes to individual policies people are buying, those have gone up rathe
-run system, something like medicare for all. it's appealing but it's very expensive. we couldn't figure out a cost-effective way to provide that. members on the right more conservative leaning in this body wanted to just provide savings accounts which works beautifully for people who have money to save in the account, but for people who live paycheck to paycheck, and there is no money to save, they never get any account to be able to provide for their health insurance. so between those two book ends, we debated for a long time about how to provide a market-based approach for insurance. no mitigation in the world has attempted this, so this is a big effort, but it's an important effort because we are a developed nation, we need to have a healthy work force. it's about as simple as that. you can't be number one in the world, you can't be the strongest economic power in the world if your people are sick and weak. it's just about as simple as that. and you can't be the strongest economic power in the world if your health care system is sapping so much money out of your economic power, 19% of th
$2,500. instead of seeing premiums go down, we're seeing premiums go up. and we know that medicare and medicaid remain on an unsustainable path, and we're actually seeing in many states the states opting to expand the medicaid program when they can't even care for or pay for the people who are currently in the medicaid program. and we have found that as organized labor has gone to the white house, they said that because of the incentives in obamacare, that many full-time employees will now be put on part-time work in order to avoid some of the penalties associated with obamacare, and we know that in the medical device sector, one of the most innovative parts of health care today, that those jobs are moving offshore. they're moving outside of the united states, and it's stifling innovation, this medical device tax which is part of the pay-for of obamacare. but here is another issue that hasn't gotten much attention lately. i was a little surprised when i came across this article in the "atlantic" magazine, but the truth is the obamacare structure penalizes people for getting married
is that medicare is a terrible idea and that is what this is about. we are going to make history here. we were going to fix the problem and there will be more of that. because that is what happens. .. our children will have a brighter future. and i'm just here to say i stand with those who want progress. i'm not going to tear something down like they want to do and go right back to where we were before, with parents like these having to choose between feeding their families and giving their kids health care. thank you, and i yield the floor. a senator: mr. president? the presiding officer: the senator from connecticut. mr. murphy: thank you, mr. president. thank you, the senator from california for telling the stories of people in california which are not unlike the stories in connecticut, an exchange that is working. a flood of people signing up way above expectations from where we originally thought the numbers would be. would be. >> i thank you as well for pointing out what is the reality, which is that over 40 # times, republicans in the house of representatives and senate voted to repeal
the united states more than $200 billion a year, including $142 billion in costs to the medicare and medicaid programs. this price tag, mr. president, will increase expo tensionally as the baby boomer generation ages. if we fail to change the current trajectory of alzheimer's disease, our country will not only face some mounting public health crisis but an economic one as well. if nothing is done to slow or stop this disease, the alzheimer's association estimates that alzheimer's will cost our country an astonishing $20 trillion over the next 40 years. it is estimated that nearly one in two baby boomers reaching the age 85 will develop alzheimer's. as a consequence, chances are that the members of the baby-boom generation will either be spending their golden years suffering from alzheimer's or caring for someone who has it. in many ways, alzheimer's has become the defining disease of this generation. if we are to prevent alzheimer's from becoming the defining december of the next general -- defining disease of the next generation it is i am imperative increase our investment in alzheimer's re
a handle on the safety net programs like social security and medicare. that is the appropriate role for the government and i think most americans agree. which is why they reelected president obama. >> do you think richard's concern? he feels it is being put on him. is that a fair concern? >> i really don't. in this case, accusations like he unfortunately chose to do isn't constructive. i wish folks like him would step back, listen and engage in dialogue and understand the other side's point of view. when you here talk like his, it is evident he is watching fox news and gets the information mostly from right-wing conservative sources and isn't open to other points of view. and that is why i wrote the book. hopefully someone finds a way to see we have to try to work together and not dig in so hard and accept everything we hear from one side or another. >> putting on your political hat for a moment. the rollout of the health care website: has it hurt democrats polytically? >> that is not a political issue. it is critical. and obama believes that we have to get the website on so people
they're not eligible for medicare and that's why they're i invalid. so that is something to pay attention to as well in terms of who enrolls in the state date -- state-based exchanges. and that's just some information. if you looking for more information about the district, you can go to d.c. health or contact our call center. i do want to note, in terms of -- i make a quick comment about one of the earlier comments made about hhs and the federal implementation. i was in state government with the legislation, the affordable care act was being debated. and states have a clear choice. there was a house version which had one nationwide exchange, and there was a senate version which had each state is setting up their own. and every one of us, me included, in state government, lobbied heavily for state-based opportunities. we argued states can do it better come and we have done it better. and we should do it. so part of the issue has been that so many states who lobbied heavily to have the opportunity to set up their own exchanges decided not to do that. and so i think we ha
, the other piece of that where the funding comes from is out of medicare. and so you still have this element of seniors, especially in some of the rural districts where medicare advantage actually played a major role in being able to keep your provider because of the reimbursement rate issues that are cognizant that that may be a problem. so you've got this they took money out of medicare to put into medicaid, that's an issue. our members are very capable and competent at talking about alternatives that we would offer for a patient-centered health care delivery system. but it doesn't do us much good to put, you know, that up on the floor in a comprehensive way when you know that, i mean, let's be honest, the senate's not going to take it up, the president's not going to go along with that. so when one party passes something exclusively, denies the other party the ability to even offer a single amendment on the house floor which occurred, then they own it and embrace it. and they've owned it and embraced it and overpromised and underdelivered, and it is, it's the, you know, the tsunami that's
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